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CTRI Number  CTRI/2026/02/104131 [Registered on: 17/02/2026] Trial Registered Prospectively
Last Modified On: 17/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Crossover Trial 
Public Title of Study   Ways to Control Gag Reflex in Children During upper Dental Impressions 
Scientific Title of Study   Effect of Local Anaesthesia and Temporal Tap technique on gag reflex during maxillary arch impression in children: A Cross-over Study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Seema Bargale 
Designation  Professor 
Affiliation  KM Shah Dental College and Hospital 
Address  Department of Pediatric and Preventive Dentistry, Number-3, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Waghodia Road, Pipariya, Vadodara

Vadodara
GUJARAT
391760
India 
Phone  9586115657  
Fax    
Email  drseemabargale@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Seema Bargale 
Designation  Professor 
Affiliation  KM Shah Dental College and Hospital 
Address  Department of Pediatric and Preventive Dentistry, Number-3, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Waghodia Road, Pipariya, Vadodara

Vadodara
GUJARAT
391760
India 
Phone  9586115657  
Fax    
Email  drseemabargale@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Divya Shinde 
Designation  PG Student 
Affiliation  KM Shah Dental College and Hospital 
Address  Department of Pediatric and Preventive Dentistry, Number-3, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Waghodia Road, Pipariya, Vadodara

Vadodara
GUJARAT
391760
India 
Phone  9130670670  
Fax    
Email  divyashinde6@gmail.com  
 
Source of Monetary or Material Support  
K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Waghodia, Vadodara, Gujarat (PIN-391760) 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Seema Bargale  Department of Pediatric and Preventive Dentistry  Depatment No.3, First Floor, Department of Pediatric and Preventive Dentistry, KM Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Waghodia Road, Pipariya, Vadodara
Vadodara
GUJARAT 
9586115657

drseemabargale@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Gag reflex during impression making in children 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Local Anesthesia  1.8ml Local Anesthesia solution (2% lignocaine with 1:10000 adrenaline) will be incorporated in the impression material (alginate) along with water while mixing to reduce the gag reflex in children while recording impression. 
Intervention  Temporal Tap Technique  Temporal tapping will be performed by tapping along the temporal sphenoidal diagnostic line along with verbal commands like you will find it easy, you can do it, there is no reason to worry, etc. The Tapping will be done on both sides. The Statements to the left side should be positive and rational. Those to the right should be negative, emotional, and authoritative, The suggestive statements should be simple, direct commands.  
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  2.Children first dental visit
3.Children with Frankl score 3 or 4 in the rating scale
4.Children with GSI score greater than or equal to grade II
5.Children with no history of dental impressions previously made 
 
ExclusionCriteria 
Details  1. Children with systemic illness.
2. Children with medically and developmentally compromising conditions.
3. Children whose parents did not gave written consent.
4. Children allergic to Local Anaesthesia. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To determine the more effective non-pharmacological approach for managing gag reflex in pediatric dental patients during dental impression procedures.  There is no Follow-up. Baseline GPI (Gag Prevention Index) score is taken. There will be 10 minutes washout period between the two interventions. After each intervention GSI (Gag Severity Index) score is recorded. 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Effect of Local Anesthesia and Temporal Tap Technique on Gag Reflex During Maxillary Arch Impression in Children: A Randomized Cross-Over Study

This randomized cross-over study will be conducted to compare the effectiveness of local anesthesia and the temporal tap technique in controlling the gag reflex during maxillary arch impression procedures in children aged 6–12 years. Forty-four children exhibiting a gag reflex of grade II or above based on Gag severity Index (GSI) will be included. Each participant will receive both interventions in a randomized sequence, separated by a 10-minute washout period. The gag reflex response will be measured using the Gag Prevention Index, while dental anxiety will be assessed using the Buchanan Facial Image Scale. The findings of this study will help determine the more effective non-pharmacological approach for managing gag reflex in pediatric dental patients, thereby improving patient comfort and cooperation during dental impression procedures.

 
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